Allan Dallas Puckett LPN

NPI 1720275787 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1720275787
Gender Male
Enumeration Date 10/03/2007
Last Updated 10/03/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1608 TEXAS CT
XENIA OH, 45385-4864, US
Phone (937) 372-5327
Fax
Business Location
1608 TEXAS CT
XENIA OH, 45385-4864, US
Phone (937) 372-5327
Fax
Toxanomy
Taxonomy Code 164W00000X
License State Ohio
License Number PN113154
Remove 1720275787 NPI Number
 

According to our database, Mr. Allan Dallas Puckett LPN NPI is 1720275787, taxonomy code is 164W00000X and license number is PN113154, license state is located at Ohio. Allan Dallas Puckett LPN physically located at 1608 Texas Ct, Xenia OH, 45385-4864. NPI Number Allan Dallas Puckett LPN has the Individual type.

Sponsored links

1720275787 NPI number is provided on an as is basis without warranty of any kind. 1720275787 is maintained by the National Plan & Provider Enumeration System. The contents of Allan Dallas Puckett LPN are for informational purposes only.